What is Digg?14 Comments
- Ricochetbiscuit, on 10/28/2008, -0/+10I wonder what kind of dialysis is most prone. My Dad is on peritenial (spell?) and I wonder if it matters, or if he's more or less at risk.
- DrDigg, on 10/29/2008, -0/+7This has been known for a long time, just now we have the data to back it up. One of my old attendings used to say "the dumbest kidney is still smarter than the smartest nephrologist". Dialysis is a life extending procedure, but far from perfect.
- pirlok, on 10/28/2008, -0/+7Now we are waiting for scientists to develop a new way to cure kidney failure
- GeeksSpeakFont, on 10/28/2008, -0/+5the kidneys are tricky... it's amazing we still don't really even understand kidney stones!
- MarkusX, on 10/29/2008, -0/+4As much as I value the information, I wonder how valuable it is for the people who are concerned by this.
I mean, if the doctor says "You need dialysis!", are you gonna say "No, thanks, I try to reduce my risk of sudden cardiac death." ???
I don't think so. If you need dialysis, then no need dialysis, having this information is - from a patient's point of view - only troubling and creating more worries than you have already. It's much more important to know for the doctors, who have to make the decision, whether dialysis is worth the risk. - bigp3rm, on 10/29/2008, -1/+5Yep Osama is dead.
- DrDigg, on 10/29/2008, -0/+3It is probably a little less since there is daily filtration, but I would guess not much less. This is one of the reasons why transplants are much better in the long run.
- Dana415, on 10/29/2008, -0/+2This happened to my grandma yesterday. :(
- inactive, on 10/29/2008, -0/+2It's valuable to researchers and the medical field in order to provide care and to begin research to mitigate the risks.
- wewa, on 10/29/2008, -0/+1Peritoneal Dialysis (PD) is essentially fluid in the abdomen to absorb the toxins like nitrogen that the kidney used to do.
So it is passive, and is not like the blood exchange and filtering that occurs with a renal dialysis machine.
Quite a different method.
http://en.wikipedia.org/wiki/Peritoneal_dialysis
Also sudden cardiac death is a well known risk of renal dialysis, I used to work in a hospital dialysis unit in the 80's, and we all knew this, as sometimes, sadly, we'd have patients collapse and we would have to call a code and administer CPR and lifesaving measures.
This is why the study results turned out to show it as the #1 cause of death. Doh!
So I don't understand why this article is being touted as a new discovery... - Aileinduinn, on 10/30/2008, -0/+1This should not by any means be reason to delay dialysis if a nephrologist deems it necessary
I would imagine if one were to look closer at the numbers, the correlation would probably be directly related to end stage renal disease, not dialysis, especially when associated with Polycystic Kidney Disease (a fairly common degenerative kidney disorder1:500]) Considering most if not all dialysis patients are in end stage renal disease it would be only a logical next step to connect that the risk of Sudden Cardiac death is related to valvular heart diseases that are quite common for end stage renal disease sufferers.
Kidneys get weak, put strain on the heart, increase blood urea volume, increase hypertension, increase risk of hemorrhage...heart stops working properly. Dialysis is a treatment, not a symptom in the progression.
Correlation /= to causation.
If its you or loved one...do the dialysis.
(wifey has PKD) - scarz99, on 10/29/2008, -0/+1I take Dialysi -- *dead*
- sessyman, on 10/29/2008, -0/+1I've worked at a Dialysis Clinic for 3 years now...and I can say I've actually seen this. I work on the Hemodialysis side of the clinic, it's in center where people come 3 times a week and are on the machine at least 3 hours. It's a pretty depressing place to work because you get to see people slowly circling the drain. We had a patient who, other than his kidneys not functioning, was in pretty decent shape. Mid-40's, not overweight, just an average guy, started complaining of tightness in his chest, and about 2 minutes later went into ventricular fibrillation and died. It was completely out of nowhere.
So yeah, I buy into this study. It's rare, but it definitely happens. I'm gonna pass this around at work. - Gump9005, on 10/29/2008, -2/+1I am completely against this. Let the doctors figure it out the hard way : O
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